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Member Scholarship Application Keystone First wants to help make your dream of college or a new career possible. Apply for the 2014 deadline for applications is March 17 2014. First Name Last Name Male Female Street Address County or Section of the City City Phone State Zip Code Major/Area of Study Email Address Age Part-Time High School Name and Address Full-Time Year Graduated College/University/Trade/Vocational School Name and Address either currently enrolled or plan to enroll Please list your extracurricular school activities or any volunteer activities. Please list any jobs full- or part-time you have held that have contributed to your educational goals. If you plan to move after March 1 2014 please include your forwarding address. Write a 1-page essay typed or neatly handwritten on a separate sheet of paper telling us why continuing your education is important to you. Please include the following points What you want to study and why. How your education will change your life. Wh....

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How to fill out the Keystone First online

Filling out the Keystone First Member Scholarship Application online can help you take the next steps toward your educational goals. This guide provides clear instructions to assist you in completing the application accurately and efficiently.

Follow the steps to successfully complete your application.

  1. Press the ‘Get Form’ button to access the scholarship application and open it in your preferred text editor.
  2. Begin by filling in your personal information including your first name, last name, street address, county, city, state, zip code, and Keystone First ID number. Ensure all details are current and accurate.
  3. Indicate your gender by selecting either male or female. Provide your phone number and email address as a means of contact.
  4. Next, specify your age and indicate whether you plan to enroll in school full-time or part-time.
  5. Fill in the name and address of your high school, along with the year you graduated or received your GED.
  6. Provide the name and address of the college, university, trade school, or vocational school you are currently enrolled in or plan to attend.
  7. List any extracurricular activities or volunteer work that you have participated in, as well as any jobs that have contributed to your educational goals.
  8. If applicable, include your forwarding address if you plan to move after March 1, 2014.
  9. Write a 1-page essay addressing why continuing your education is important to you. Be sure to include what you want to study and why, how your education will change your life, why you need assistance, and your future plans with your education.
  10. Include your signature or the signature of a parent or guardian if you are under 18 years of age, confirming your consent for your essay and photograph to be used for promotional purposes.
  11. Lastly, review your application to ensure all required materials are included, such as a copy of your grades and a letter of recommendation from an eligible source.
  12. Save your progress and once completed, print your application, and prepare to mail it to the address provided before the deadline on March 17, 2014.

Complete your Keystone First Member Scholarship Application online today!

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Dental benefits for members over age 21, who are eligible for dental benefits, are eligible for: 1 dental exam and 1 cleaning, every 6 months. Pulpotomies (removal of pulp) for pain relief. Re-cementing of crowns (re-gluing the crown).

In 2012, backed by parent companies Independence Blue Cross and Blue Cross Blue Shield of Michigan, Keystone Mercy became Keystone First. Today, Keystone First serves more than 300,000 Medical Assistance recipients in the five-county Greater Philadelphia area.

Enroll Now Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. They have information about Keystone First and can answer your questions.

You are 21 years of age or older and begin receiving Medicare Part D (Prescription Drug Coverage). You go to a state mental health hospital. You may also become eligible for Community HealthChoices.

Keystone First is Pennsylvania's largest Medical Assistance (Medicaid) managed care health plan serving more than 400,000 Medical Assistance recipients in southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.

The plan continued to grow, and in 1996, entered into a partnership with Keystone Health Plan East, the managed care entity of Independence Blue Cross, to form Keystone Mercy Health Plan. ... Today, Keystone First serves more than 300,000 Medical Assistance recipients in the five-county Greater Philadelphia area.

Enroll Now Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. They have information about Keystone First and can answer your questions.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232